Slow progress on efforts to pay docs, hospitals for 'value,' not volume

For decades, reformers have sought to change how doctors and hospitals are paid to reward quality and efficiency ? efforts that accelerated as a result of the health care overhaul. But surprisingly little progress has been made to date, a consortium of large employers reported today. Only 10.9 percent of health care spending last year by employer-sponsored plans was based on "value," as opposed to "volume," or the number of services performed, according to the study by Catalyst for Payment Reform (CPR), a nonprofit group which represents 21 U.S. employers, including Verizon, Walmart, eBay and Boeing.